Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER M CANNON, M.D.
Active Sole ProprietorDR. PETER M CANNON, M.D. is a Urology healthcare provider located in IDAHO FALLS, Idaho. NPI 1326032939 is currently active in the NPPES registry. Verify at CMS.
Urology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1326032939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2005 (20.90484196349 yrs)
- Last Updated
- Apr 6, 2011
- License
-
M-3494 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 S WOODRUFF AVESUITE 4IDAHO FALLS, ID, 834046374Browse ID providers · Browse ZIP 83404
- Phone
- 2085244511
- Fax
- 2085244540
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DUNCAN DWAYNNE HARRIS | M.D. | 1679528632 |
| DR. TIMOTHY OSBORN TAYLOR | MD | 1033121322 |
| DR. ROGER H TALL | MD | 1972604494 |
| RICHARD ALAN BLATTER | D.O. | 1154682565 |
| JARED K. MANWARING | MD | 1235573148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.